Skip to main content
Article thumbnail
Location of Repository

Gravidade dos pacientes admitidos à Unidade de Terapia Intensiva de um hospital universitário brasileiro Severity of patients admitted to a Brazilian teaching hospital Intensive Care Unit

By Carlos Augusto Ramos Feijó, Francisco Olon Leite Júnior, Ana Cecília Santos Martins, Alberto Hil Furtado Júnior, Luiz Lacerda Souza Cruz and Francisco Albano de Meneses

Abstract

JUSTIFICATIVA E OBJETIVOS: Analisar a gravidade de pacientes internados na Unidade de Terapia Intensiva (UTI) de um hospital universitário, utilizando o escore APACHE II. MÉTODO: Foi realizado estudo descritivo, retrospectivo, com análise de 300 pacientes admitidos à UTI, no período de março de 2004 a julho de 2005. RESULTADOS: Dos 300 pacientes estudados, 51,7% eram do sexo masculino, com média idade de 54,2 ± 19,57) anos. Houve maior prevalência de pacientes acima de 60 anos (43%). Quanto à procedência, 78% foram provenientes das enfermarias do próprio hospital. De acordo com o sistema acometido, as principais disfunções foram respiratórias e cardiovasculares. A média de permanência na UTI foi de 7,51 ± 8,21) dias. A média geral de APACHE II foi de 16,48 ± 7,67), com significativa diferença entre sobreviventes e falecidos. A mortalidade total na UTI foi de 32,7%, sem diferença significativa entre os pacientes falecidos com menos ou mais de 48 horas. A razão de mortalidade padronizada foi 1,1. CONCLUSÕES: Apesar da gravidade dos pacientes admitidos, a razão de mortalidade padronizada sugere satisfatória qualidade no serviço em apreço.<br>BACKGROUND AND OBJECTIVES: The aim of this study was to analyze the morbidity and the mortality of critically ill patients admitted to the intensive care unit in a teaching hospital, using the APACHE II score. METHODS: Descriptive and retrospective study, with analysis of 300 patients admitted to ICU from March 2004 to July 2005. RESULTS: Of the 300 patients admitted to ICU, 51.7% were men, average 54.2 ± 19.57 years and 78% from the wards of the teaching hospital itself. There was more prevalence of patients aged 60 years or older (43%). The main dysfunctions were from the respiratory and cardiocirculatory systems. Length of stay in ICU was 7.51 ± 8.21 days. The mean of APACHE II was 16.48 ± 7.67, with meaningful difference between survivors and deceased patients. The real mortality rate in ICU was 32.7%, without meaningful difference between patients that died before or after 48 hours. The standardized mortality ratio was 1.1. CONCLUSIONS: Despite the severity of the patients admitted to ICU, the standardized mortality ratio suggests a satisfactory quality in the service

Topics: APACHE II, razão de mortalidade padronizada, UTI, APACHE II, intensive care units, standardized mortality ratio, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9, Internal medicine, RC31-1245, Medicine, R, DOAJ:Internal medicine, DOAJ:Medicine (General), DOAJ:Health Sciences
Publisher: Associação de Medicina Intensiva Brasileira
Year: 2006
DOI identifier: 10.1590/S0103-507X2006000100004
OAI identifier: oai:doaj.org/article:44fa4725d3284a81a3ef47ed17e7a074
Journal:
Download PDF:
Sorry, we are unable to provide the full text but you may find it at the following location(s):
  • https://doaj.org/toc/1982-4335 (external link)
  • https://doaj.org/toc/0103-507X (external link)
  • http://www.scielo.br/scielo.ph... (external link)
  • https://doaj.org/article/44fa4... (external link)
  • Suggested articles


    To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.